FORM 1023-EZ for LAUREL COMMUNITY HOME CLUB

Field Data
EIN 86-1672586
Case Number EO-2021081-000802
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAUREL COMMUNITY HOME CLUB
Organization’s Mailing Address 12950 SW HILLSBORO HWY
City HILLSBORO
State OR
ZIP 97123
Accounting period End 12
Primary contact name LIZA UNGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA HARTY
PRESIDENT
14200 SW CAMPBELL RD
HILLSBORO OR 97123

Officer/Director/Trustee Two

KEN WESTON
SECRETARY
21355 SW MCCORMICK HILL ROAD
HILLSBORO OR 97123

Officer/Director/Trustee Three

LIZA UNGER
TREASURER
12950 SW HILLSBORO HWY
HILLSBORO OR 97123

Officer/Director/Trustee Four

REBECCA SNYDER
MEMBER AT LARGE
19425 COLBY LANE
HILLSBORO OR 97123

Officer/Director/Trustee Five

EDWARD HARTY
MEMBER AT LARGE
14200 SW CAMPBELL RD
HILLSBORO OR 97123

Organization’s website WWW.RESTORELAUREL.COM
Organization’s email INFO@RESTORELAUREL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/1923
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LIZA UNGER
Signature Title TREASURER
Signature Date 1/26/2021

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